CHARACTERISTICS OF SPUTUM IN CHILDREN WITH ACUTE AND RECURRENT BRONCHITIS
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Key words: bronchitis, obstruction, sputum, eosinophils, saturation.Abstrak
Abstract. Relevance. To date, for the diagnosis and prognosis of the course of
acute and recurrent obstructive bronchitis in children, in the available literature there
are many works in which various studies are given that require blood sampling,
reagents and expensive equipment or mathematical programs that require different
parameters. Objective of the study: optimization of the results of diagnosis and
prediction of the course of acute and recurrent bronchitis in children based on the study
of the characteristics of sputum. Materials and research methods. In the period from
2018 to 2020, 80 children with acute and recurrent obstructive bronchitis were
examined who were hospitalized in the departments of children's intensive care, I and
II emergency pediatrics of the Samarkand branch of the Republican Scientific Center
for Emergency Medical Aid. Research results. Microbiological examination of the
sputum of patients with recurrent obstructive bronchitis revealed Klebsiella and
Proteus, which are known to be one of the risk factors for the development of recurrent
obstructive bronchitis in children. Also, microscopic examination of the cellular
composition of sputum revealed an increased concentration of eosinophils> 5 * 104 /
ml and neutrophils> 3 * 106 / ml, which made it possible to identify and diagnose the
recurrent course of obstructive bronchitis in the early stages and carry out appropriate
preventive measures. Conclusions. The detection of Klebsiella and Proteus during
sputum culture of patients with acute obstructive bronchitis is considered one of the
risk factors for the development of recurrent obstructive bronchitis in children. Also, a
significant role belongs to the microscopic assessment of the cellular composition of
sputum, the detection of an increased concentration of eosinophils makes it possible to
identify and diagnose the recurrent course of obstructive bronchitis in the early stages.
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